SIGNIFY!

can an entire cohort lack balance?

What cure for a sensation junkie?

Discovered Google Dictionary

Reading an '89 journal: the entries do not recall the events. Memory is fickle

Portrait of an artist as an old man

In search of a magnum opus

Simpler: how broad & how deep are your stated / known preferences?

How rich are your articulated preferences?

Twitter spam is going to be a huge problem - and I'm not talking about me :)

In search of an affectometer: a device that measures physiological arousal+ambient temperature+geolocation and tells you what you are feeling

At some point life will be perfect - even if only for a day....

Chat better than email for updates too? multiple lines text & multi-updates at a time.

With blogger added to ping I'll have to do more housekeeping

HAPPY NEW YEAR!

BEST WISHES TO EVERYONE FOR 2009!

TIABIM

TIABIM: Taking into account and bearing in mind.

Learning...

It has been more than a year since I reviewed the BTS guidelines on management of primary spontaneous pneumothoraces, which I have reviewed again tonight and which had not changed in the interim, so I felt somewhat "rebuked" when I recently aspirated a moderate sized pneumothorax in a patient with COPD and a pleural effusion.

The medical registrar was quite emphatic that that was not the right management. It was.

The matter is noteworthy for two reasons: the first is that I have been trying to review my management of uncommon and rare conditions at the point of care, synchronously, regardless of my confidence in my knowledge or skill simply as good habit; and the second is that personal confidence is only tenuously linked to being right.

I am not confrontational and verbal aggression is only rarely provocative. I am biased by my history to consider only confinement and physical aggression as aggression, so the opinions of colleagues rarely impose. I am free.

I felt vulnerable and I am not sure why.

Haiku

running rat in maze
trackless mapless lost lonesome
is man is woman

Haiku

sculpting snow dragons
fire breathers formed in ice
... diastolic hearts...

Hope

Can hope be a positive act instead of an expectation?